BRABURRY DIALYSIS LLC NPI 1225704125

NPI Information

BRABURRY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Edison, NJ. BRABURRY DIALYSIS LLC NPI is 1225704125. The provider is registered as an organization entity type.
The provider Is Doing Business As South Edison Dialysis.

The provider's business location address is:

561 US HIGHWAY 1
PAD H
EDISON, NJ
ZIP 08817-400
Phone: (908) 332-0239
Fax: (908) 332-0259

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 31D2225920 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 1/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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